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Chelsfield Surgery, Chelsfield, Orpington.

Chelsfield Surgery in Chelsfield, Orpington is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 18th September 2017

Chelsfield Surgery is managed by Chelsfield Surgery.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2017-09-18
    Last Published 2017-09-18

Local Authority:

    Bromley

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

11th July 2017 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chelsfield Surgery on 15 December 2015. The overall rating for the practice was Good, but the Safe domain was rated requires improvement. The full comprehensive report on the December 2015 inspection can be found by selecting the ‘all reports’ link for Chelsfield Surgery on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 11 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 December 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

.Overall the practice is now rated as Good.

Our key findings were as follows:

  • At our previous inspection on 15 December 2015, we rated the practice as requires improvement for providing safe services as we found that the provider had not ensured staff had appropriate support and training to carry out their duties, and some equipment used in treating certain medical emergencies was not fit for use. These arrangements had significantly improved when we undertook this inspection.

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.

  • The practice had clearly defined and embedded systems to minimise risks to patient safety.

  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.

  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.

  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

We saw this area of outstanding practice:

The practice had made particularly strong efforts to engage its practice population in the running of the service. They held a patient participation week in June 2017, to raise awareness about the patient participation group (PPG) and inform people about how they could get involved. During the awareness week, 189 questionnaires were completed by patients providing feedback to the PPG.

The areas where the provider should make improvements are:

  • to review processes for monitoring and following up uncollected prescriptions in a timely manner.

  • consider ways to improve patient satisfaction with access to appointments

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice
15th December 2015 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chelsfield Surgery on 15 December 2015. The overall rating for the practice was Good, but the Safe domain was rated requires improvement. The full comprehensive report on the December 2015 inspection can be found by selecting the ‘all reports’ link for Chelsfield Surgery on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 11 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 December 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

.Overall the practice is now rated as Good.

Our key findings were as follows:

  • At our previous inspection on 15 December 2015, we rated the practice as requires improvement for providing safe services as we found that the provider had not ensured staff had appropriate support and training to carry out their duties, and some equipment used in treating certain medical emergencies was not fit for use. These arrangements had significantly improved when we undertook this inspection.

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.

  • The practice had clearly defined and embedded systems to minimise risks to patient safety.

  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.

  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.

  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

We saw this area of outstanding practice:

The practice had made particularly strong efforts to engage its practice population in the running of the service. They held a patient participation week in June 2017, to raise awareness about the patient participation group (PPG) and inform people about how they could get involved. During the awareness week, 189 questionnaires were completed by patients providing feedback to the PPG.

The areas where the provider should make improvements are:

  • to review processes for monitoring and following up uncollected prescriptions in a timely manner.

  • consider ways to improve patient satisfaction with access to appointments

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

 

 

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